Carmichael I W, MacLeod A M, Travlos J
Staffordshire General Hospital, Stafford, England.
J Bone Joint Surg Br. 1997 Jul;79(4):624-5. doi: 10.1302/0301-620x.79b4.7160.
We compared the practice of four orthopaedic consultants as regards the use of MRI and arthroscopy to diagnose problems of the knee. In one year 324 arthroscopies and 66 MR scans were performed for this purpose. We found that MRI is a reliable and cheaper alternative to 'diagnostic arthroscopy'. We consider that patients with definite clinical signs merit an early 'therapeutic arthroscopy', but that all other knees should be investigated by MRI. This policy spares patients from unnecessary and expensive surgery. Arthroscopy for diagnostic purposes should be used only with a specific purpose. Modern MRI can and should replace "having a look".
我们比较了四位骨科会诊医生在使用磁共振成像（MRI）和关节镜检查来诊断膝关节问题方面的做法。在一年时间里，为此目的进行了324例关节镜检查和66次磁共振扫描。我们发现，MRI是“诊断性关节镜检查”的一种可靠且更便宜的替代方法。我们认为，有明确临床体征的患者值得早期进行“治疗性关节镜检查”，但所有其他膝关节都应通过MRI进行检查。这项政策使患者免于不必要的昂贵手术。仅应出于特定目的使用诊断性关节镜检查。现代MRI能够且应该取代“看一看”的做法。
